# WELLNESS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073136602
- **Authorized official:** ROGERS COOPER (OWNER)
- **Authorized official phone:** (409) 466-7925

## Contact information

- **Practice address:** 12716 PERKINS RD, BATON ROUGE, LA 70810-1910
- **Practice address phone:** (225) 256-3083
- **Practice address fax:** (225) 256-3870
- **Mailing address:** 36495 RETREAT LN, PRAIRIEVILLE, LA 70769-3479
- **Mailing address phone:** (409) 466-7925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2020
- **Last updated:** 12/06/2023